Provider Demographics
NPI:1407915150
Name:VASILEV, STEVEN A (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:VASILEV
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Gender:M
Credentials:MD
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Mailing Address - Street 1:18075 VENTURA BLVD
Mailing Address - Street 2:STE 108
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3599
Mailing Address - Country:US
Mailing Address - Phone:310-739-1127
Mailing Address - Fax:888-234-7969
Practice Address - Street 1:2121 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2303
Practice Address - Country:US
Practice Address - Phone:310-829-8402
Practice Address - Fax:310-829-8914
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2021-06-21
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Provider Licenses
StateLicense IDTaxonomies
CAG56061207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology